Monkfish, Turbot & Sandfish Ranked by Purine Content

Evidence-based comparison — data from USDA+ODS-NIH PURINE DATABASE Release 2 (March 2025)

Lowest Purine Monkfish, Turbot & Sandfish

#1monkfish, raw70.1 mg

#2sailfin sandfish, raw98.4 mg

#3turbot, european, raw112.2 mg

#4rockfish (mebaru), raw124.1 mg

#5Mebaru124.2 mg

#6turbot skin, raw142.1 mg

Highest Purine Monkfish, Turbot & Sandfish

#6monkfish, raw70.1 mg

#5sailfin sandfish, raw98.4 mg

#4turbot, european, raw112.2 mg

#3rockfish (mebaru), raw124.1 mg

#2Mebaru124.2 mg

#1turbot skin, raw142.1 mg

Category Average: 111.8 mg/100g

The average across 6 Monkfish, Turbot & Sandfish foods with lab-measured data. Foods below this average are better-than-typical choices within this category.

How to Use This Ranking

The purine ranking is sorted from lowest to highest. Rank #1 is the lowest-purine food in the category. Foods in the top half (above median) should be consumed with more awareness of portion and frequency. The difference between adjacent ranks varies: in some categories, rank #5 and #10 might be only 10 mg apart; in others, the gap can be 100+ mg. Always check the actual milligram value, not just the position. Rankings do not account for fructose or alcohol — use individual food pages for a complete risk assessment.

ACR 2020 Guideline Context

The American College of Rheumatology recommends that gout patients focus on purine awareness rather than complete food group elimination. Within any category, there is a wide purine range. The goal is to shift toward lower-purine choices within categories you already eat, rather than eliminating entire food groups. This ranking helps you identify which specific items to prioritize and which to limit.

Japanese guidelines recommend under 400 mg of total dietary purines per day. Using this ranking, you can estimate how much of budget each food uses per typical serving.

How This Comparison Is Built

Every food in this comparison passes through a three-factor risk model that looks at purines, fructose, and alcohol independently. Purine values are sourced from the USDA+ODS-NIH PURINE DATABASE Release 2 (March 2025) and Kaneko et al. (Biol Pharm Bull 37(5):709-721, 2014, PMID: 24553148), fructose from USDA SR28. Verdicts apply ACR 2020 limits — Safe means under 50 mg purine and 2 g fructose with no alcohol; Moderate falls between; Avoid exceeds these or contains alcohol. Data quality tiers (T1/T2/T3) are listed on each food's detail page.

This comparison is provided for informational purposes only and does not constitute medical advice. Individual tolerance to purines and fructose varies. Consult a healthcare professional for personalized dietary guidance. Last reviewed: 2026-09-03.

Frequently Asked Questions

Is monkfish bad for gout?

No. Monkfish measures about 70.1 mg/100g in our database — low for a fish. Among 6 monkfish, turbot, and sandfish entries with measured values, levels range from 70.1 mg/100g to about 142.1 mg/100g for turbot skin. This makes monkfish one of the lower-purine seafood choices, similar to cod.

Which flatfish is lowest in purines?

Monkfish measures lowest in our database at about 70.1 mg/100g, with sailfin sandfish around 98.4 mg/100g and turbot meat at 112.2 mg/100g. Turbot skin is the outlier at 142.1 mg/100g. For routine meals, monkfish and turbot fillets are moderate-to-low choices that most gout plans can include in normal portions.

Can I eat turbot with gout?

in normal portions. Turbot meat measures about 112.2 mg/100g in our database — moderate and comparable to other white fish. It is a firm, mild fish that works baked or grilled plainly. Turbot skin is higher (142.1 mg/100g), so skinless fillets are the lower-risk choice, though the difference is modest at normal serving sizes.